June 20, 2013
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Application Request

This Apprenticeship Sponsor is committed to Equal Opportunity for all applicants.  The recruitment, selection, employment and training of apprentices during their apprenticeship, shall be without discrimination because of race, color, religion, national origin, sex or age, except applicant must meet the minimum age requirement of 17 at time of application as specified in the standards.

The information voluntarily provided below is simply for equal employment opportunity commission (EEOC) purposes.  This information will assist in our efforts to provide accurate information in compliance with EEOC regulations and requirements. 

Date:
First name:
Last Name:
Phone Number:
Email:
Address:
City:
State:
Zip Code:
 How did you hear
about apprenticeship?
 
Word-of-mouth (Friend, Family, etc.)
Posted Announcement / Flyer
Guidance Counselor
Career Day
Newspaper
Internet
Radio
TV
Other
                                        Please explain
 
 Sex:
 
Male          Female
 
Race:

 

 
American Indian or Alaskan Native
Native Hawaiin Pacific Islander
Black or African American
Asian
White
 
Ethnic Group:
Select Only One
 
Hispanic Origin
Not of Hispanic Origin
 
 

 This form will not become part of your personal file. It will be maintained separately and used only for EEOC reporting purposes.


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